Organization
MYSTIC MEADOWS SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PINCHOS BAK (AUTHORIZED SIGNER)
(609) 294-3200
Entity
Organization
Contact information
Practice address
151 9TH AVE, LITTLE EGG HARBOR TWP, NJ 08087-4218
(609) 294-3200
Mailing address
151 9TH AVE, LITTLE EGG HARBOR TWP, NJ 08087-4218
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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